NOEMI L SHILTS (NP) – Nurse Practitioner, NPI 1396138830

NOEMI L SHILTS (NP) is a healthcare provider. based in Mahomet, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 277002223 (IL). The NPI Number for NOEMI L SHILTS (NP) is 1396138830

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
NOEMI L SHILTS (NP)
NPI
1396138830
Phone
(217) 402-8699
Address
601 E Main St Ste 207
Enumeration Date
9 March 2015
Last Update Date
23 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887122753
Graduation Year
2015 (11 years ago)
PAC ID
6709194152
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20151005000514
Address ID
IL618012501UR611XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for NOEMI L SHILTS (NP)

  • 601 E Main St Ste 207

    Mahomet, IL 618537461

    Phone: (217) 402-8699

    Type: Location

  • 1490 E Walnut St Ste C

    Watseka, IL 609701830

    Phone: (815) 432-8200

    Type: Location

  • 610 N. LINCOLN AVE

    URBANA, IL 618012500

    Phone: (217) 383-6555

    Fax: (217) 326-0277

    Type: Location

  • 611 W. PARK ST.

    BWPC

    URBANA, IL 618012500

    Phone: (217) 383-6792

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151005000514INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6750$0
99212Established patient office or other outpatient visit, 10-19 minutes1717$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
99441Telephone medical discussion with physician, 5-10 minutes1211$0
99442Telephone medical discussion with physician, 11-20 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 61853)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

What is the 10-digit NPI for NOEMI L SHILTS (NP)?
NOEMI L SHILTS (NP) — NPI 1396138830 — is the standard way to identify this listing.
Does the file indicate NOEMI L SHILTS (NP) is practicing under active NPI?
Directory data currently reports NOEMI L SHILTS (NP) as active.
What is NOEMI L SHILTS (NP)'s specialty?
The listing groups NOEMI L SHILTS (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is NOEMI L SHILTS (NP) based?
NOEMI L SHILTS (NP) is tied to Mahomet, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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